SRS It's time for my biannual drugs/alcohol recovery thread.

TheGreat8

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Jul 14, 2006
38,361
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So essentially I’m just getting high and masking the pain rather than actually treating it?

It makes sense, but at the same time it feels like “well shit let me mask this for a bit then…”
 

TheGreat8

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Jul 14, 2006
38,361
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Also, from my understanding, my condition is congenital and also has no real treatment outside of removing my kidney. The “treatment” is ayyy throw more opiates at it.
 
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crotch

crotch

😑
Oct 12, 2001
185,600
Nashville, TN
My brother is in alcohol rehab right now. Gonna be a tough road ahead but he's better off now than he was even a few weeks ago. Tips on how to be a good support for someone facing this stuff welcomed :hs:
recognize triggers. ask him what triggers him. offer to drive or even go with him to meetings. ask him what to look for, signs that he’s relapsed or is on the cusp. encourage he find a sponsor and above all just encourage he reach out and voice how he’s feeling and on top of all of that congratulate him taking a huge step toward positivity.
 

TheGreat8

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Jul 14, 2006
38,361
GA
My brother is in alcohol rehab right now. Gonna be a tough road ahead but he's better off now than he was even a few weeks ago. Tips on how to be a good support for someone facing this stuff welcomed :hs:
Take this with a grain of salt as I’m in no place to give advice.

When he talks, listen. Also, even though recovery is largely about doing things for yourself, it’s nice to know that you’re making someone else proud for a change vs disappointing them again.

It’s awesome that you are seeking out advice on how to help him. There are also groups specifically for people with friends/family in recovery. Everything crotch said is great too. :hug:
 

TheGreat8

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Jul 14, 2006
38,361
GA
In an effort to hold myself more accountable, I’m going to post this. I don’t genuinely expect it to go very well but I figure I owe it to myself to at least make some sort of baby step to addressing things.

So, I’ve decided it’s been quite a few years since I even experienced life without medicine and I’m really just defaulting to thinking things will be the same as they were when I was on a much higher dosage. Based on that, I’m tapering myself off over the next few days. The goal is to go down to nothing over the course of 4-5 days and then get through the withdrawals to see what my body actually does. I know my kidneys are better than they were the last time I tried so I’m hoping it’s tolerable. I don’t want to use my condition as a crutch or excuse to just stay on the medicine if I can function without it.

So we shall see…I’ll post updates just to maintain some sense of responsibility :o
 
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crotch

crotch

😑
Oct 12, 2001
185,600
Nashville, TN
In an effort to hold myself more accountable, I’m going to post this. I don’t genuinely expect it to go very well but I figure I owe it to myself to at least make some sort of baby step to addressing things.

So, I’ve decided it’s been quite a few years since I even experienced life without medicine and I’m really just defaulting to thinking things will be the same as they were when I was on a much higher dosage. Based on that, I’m tapering myself off over the next few days. The goal is to go down to nothing over the course of 4-5 days and then get through the withdrawals to see what my body actually does. I know my kidneys are better than they were the last time I tried so I’m hoping it’s tolerable. I don’t want to use my condition as a crutch or excuse to just stay on the medicine if I can function without it.

So we shall see…I’ll post updates just to maintain some sense of responsibility :o
i’d recommend seeking your physicians advice on a proper taper schedule imho
 

TheGreat8

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Jul 14, 2006
38,361
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i’d recommend seeking your physicians advice on a proper taper schedule imho
Spoke to them earlier with the explanation that I would like to try to come off of them. They told me a few options depending on how aggressively I want to stop. Basically, I’m adding 2 hours to the gap between doses. If I feel too shitty, then I can go backwards and just stick at the lowest dose that is tolerable for a bit. I’m not going to be so stubborn that I hate life but at the same time, that’s kinda part of the process:o I don’t want to give myself too much leeway that I can avoid making progress so I am just playing it by ear.
 

TheGreat8

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Jul 14, 2006
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I’m on the aggressive side of the taper schedules they proposed so if I do slide a bit easier, I should still make progress.
 
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TheGreat8

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Jul 14, 2006
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The 4-5 day thing was really just a rough guess. I haven’t actually done the math to see how long this schedule will take. I’m gonna do that once I’m home and see how the numbers actually turn out. I could be way off:o
 
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crotch

crotch

😑
Oct 12, 2001
185,600
Nashville, TN
The 4-5 day thing was really just a rough guess. I haven’t actually done the math to see how long this schedule will take. I’m gonna do that once I’m home and see how the numbers actually turn out. I could be way off:o
sit down and write it all out so you have a schedule to go by imho
 
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TheProwler

OT Supporter
Aug 18, 2002
102,986
Oh wow, if that’s the case I certainly need to do more reading regarding suboxone. I had mostly written that off with my understanding that it blocked the pain relieving meds I need.
My shitty, half-assed “plan”, and “plan” is HEAVILY stretching the word has been to try and taper down to a healthy(ish) dose of pills(ie my actual script in the prescribed amount) and then just moving on with life. Obviously the glaring issue there is I have little to no self control when I start to hurt. I’m fully aware my addiction will make me THINK I’m in excruciating pain when I’m actually not, so that’s a bit of a mind fuck. I constantly play the mental game of “is this pain from the kidney condition or is it just my head wanting more pills….” And I’d be willing to bet, more often than not, it’s just in my head. It feels like I’m perpetually stuck in this loop of bullshit
I think you might be a good candidate for suboxone. I am not YOUR doctor, so you definitely want to talk to one about this! I'm a surgeon, so I only prescribe short-term pain meds, but I have read/heard quite a few good things about suboxone as "medication-assisted treatment." For most people, going cold turkey means a really high relapse rate. Suboxone does not block all pain medicine effects, but it dampens the highs and lows and keeps it more consistent.

https://www.samhsa.gov/medication-assisted-treatment - there are some links that would help you find local resources and prescribers.
 

TheGreat8

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Jul 14, 2006
38,361
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I think you might be a good candidate for suboxone. I am not YOUR doctor, so you definitely want to talk to one about this! I'm a surgeon, so I only prescribe short-term pain meds, but I have read/heard quite a few good things about suboxone as "medication-assisted treatment." For most people, going cold turkey means a really high relapse rate. Suboxone does not block all pain medicine effects, but it dampens the highs and lows and keeps it more consistent.

https://www.samhsa.gov/medication-assisted-treatment - there are some links that would help you find local resources and prescribers.
Awesome, thank you.

Before someone else mentioned it the other day, I was under the impression that it either blocked them totally or would make you have withdrawal symptoms if you took an opiate while on suboxone, so I was really misinformed:o I’ve been reading a bit about it and I am definitely leaning towards starting it. I’m 100% certain I would relapse if I went cold turkey. Quitting isn’t really the goal of tapering now, I just want to know how low of a dosage I can do and still function. It’s been multiple years since I made any real effort to control my usage so I feel like I don’t even remember what my “normal” is.

Tentatively, I’m thinking I will do this taper to see where I’m at and then figure out what dosage I’m functioning and comfortable at on my current medication, and then talk to a provider near me to find out about a suboxone regimen.
 

TheProwler

OT Supporter
Aug 18, 2002
102,986
Awesome, thank you.

Before someone else mentioned it the other day, I was under the impression that it either blocked them totally or would make you have withdrawal symptoms if you took an opiate while on suboxone, so I was really misinformed:o I’ve been reading a bit about it and I am definitely leaning towards starting it. I’m 100% certain I would relapse if I went cold turkey. Quitting isn’t really the goal of tapering now, I just want to know how low of a dosage I can do and still function. It’s been multiple years since I made any real effort to control my usage so I feel like I don’t even remember what my “normal” is.

Tentatively, I’m thinking I will do this taper to see where I’m at and then figure out what dosage I’m functioning and comfortable at on my current medication, and then talk to a provider near me to find out about a suboxone regimen.
I think you're more likely to have success with all of this if you find a specialist who can manage this for you. I certainly couldn't, so doing it yourself is definitely just guesswork. I just saw one of my long-time patients today, and she's using Suboxone to wean down, and she said it is working very well for her.
 
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TheGreat8

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Jul 14, 2006
38,361
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I think you're more likely to have success with all of this if you find a specialist who can manage this for you. I certainly couldn't, so doing it yourself is definitely just guesswork. I just saw one of my long-time patients today, and she's using Suboxone to wean down, and she said it is working very well for her.
Honestly, now that I think about it, that’s likely why I’ve had a ton of trouble with it in the past. I’m decently self-aware EXCEPT when it comes to anything with meds. So you’re right. I shouldn’t be figuring anything out and should just let a professional do it. I’ll make some calls today and see where it gets me. Thank you.
 

stevezissou

OT Supporter
Jul 15, 2009
38,484
US
People are going to use drugs whether society agrees with it or not. Might as well make it safe and legal.
More and more research is showing this is not a good idea.

Kind of like huge government housing complex's aren't built anymore, because when you concentrate that much of a demographic in one area it creates other problems aka "magnet" for other issues.

The government now relies on section 8 vouchers which accomplishes the same thing as housing assistance just using privately managed properties and limiting how many vouchers can be concentrated in an area %wise and per property etc etc.
 
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Ranger-AO

IED Hunter
OT Supporter
Nov 23, 2004
35,951
A bad place
More and more research is showing this is not a good idea.

Kind of like huge government housing complex's aren't built anymore, because when you concentrate that much of a demographic in one area it creates other problems aka "magnet" for other issues.

The government now relies on section 8 vouchers which accomplishes the same thing as housing assistance just using privately managed properties and limiting how many vouchers can be concentrated in an area %wise and per property etc etc.
I completely agree with this, but I also want the option to self medicate at times without breaking the law.

Not sure if there is room for a happy medium, but it would be nice.
 
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